4-1BB激动剂抗体与E6/E7肽疫苗联合使用时,具有促进HPV阳性肿瘤持久消退的独特潜力。
Unique potential of 4-1BB agonist antibody to promote durable regression of HPV+ tumors when combined with an E6/E7 peptide vaccine.
作者信息
Bartkowiak Todd, Singh Shailbala, Yang Guojun, Galvan Gloria, Haria Dhwani, Ai Midan, Allison James P, Sastry K Jagannadha, Curran Michael A
机构信息
Department of Immunology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030; The University of Texas Graduate School of Biomedical Sciences at Houston, Houston, TX 77030.
Department of Immunology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030;
出版信息
Proc Natl Acad Sci U S A. 2015 Sep 22;112(38):E5290-9. doi: 10.1073/pnas.1514418112. Epub 2015 Sep 8.
Antibody modulation of T-cell coinhibitory (e.g., CTLA-4) or costimulatory (e.g., 4-1BB) receptors promotes clinical responses to a variety of cancers. Therapeutic cancer vaccination, in contrast, has produced limited clinical benefit and no curative therapies. The E6 and E7 oncoproteins of human papilloma virus (HPV) drive the majority of genital cancers, and many oropharyngeal tumors. We discovered 15-19 amino acid peptides from HPV-16 E6/E7 for which induction of T-cell immunity correlates with disease-free survival in patients treated for high-grade cervical neoplasia. We report here that intranasal vaccination with these peptides and the adjuvant alpha-galactosylceramide elicits systemic and mucosal T-cell responses leading to reduced HPV(+) TC-1 tumor growth and prolonged survival in mice. We hypothesized that the inability of these T cells to fully reject established tumors resulted from suppression in the tumor microenvironment which could be ameliorated through checkpoint modulation. Combining this E6/E7 peptide vaccine with checkpoint blockade produced only modest benefit; however, coadministration with a 4-1BB agonist antibody promoted durable regression of established genital TC-1 tumors. Relative to other therapies tested, this combination of vaccine and α4-1BB promoted the highest CD8(+) versus regulatory FoxP3(+) T-cell ratios, elicited 2- to 5-fold higher infiltration by E7-specific CTL, and evoked higher densities of highly cytotoxic TcEO (T cytotoxic Eomesodermin) CD8 (>70-fold) and ThEO (T helper Eomesodermin) CD4 (>17-fold) T cells. These findings have immediate clinical relevance both in terms of the direct clinical utility of the vaccine studied and in illustrating the potential of 4-1BB antibody to convert therapeutic E6/E7 vaccines already in clinical trials into curative therapies.
抗体对T细胞共抑制(如CTLA-4)或共刺激(如4-1BB)受体的调节可促进对多种癌症的临床反应。相比之下,治疗性癌症疫苗接种产生的临床益处有限,且尚无治愈性疗法。人乳头瘤病毒(HPV)的E6和E7癌蛋白驱动了大多数生殖器癌以及许多口咽肿瘤。我们从HPV-16 E6/E7中发现了15 - 19个氨基酸的肽段,对于接受高级别宫颈上皮内瘤变治疗的患者,诱导T细胞免疫与无病生存期相关。我们在此报告,用这些肽段和佐剂α-半乳糖神经酰胺进行鼻内接种可引发全身和黏膜T细胞反应,从而导致HPV(+) TC-1肿瘤生长减缓,并延长小鼠生存期。我们推测,这些T细胞无法完全排斥已形成的肿瘤是由于肿瘤微环境中的抑制作用,而通过检查点调节可以改善这种情况。将这种E6/E7肽疫苗与检查点阻断剂联合使用仅产生了适度的益处;然而,与4-1BB激动剂抗体共同给药可促进已形成的生殖器TC-1肿瘤的持久消退。相对于所测试的其他疗法,这种疫苗与α4-1BB的组合促进了最高的CD8(+)与调节性FoxP3(+) T细胞比例,引发E7特异性CTL的浸润高出2至5倍,并诱发更高密度的高细胞毒性TcEO(细胞毒性Eomesodermin CD8)(>70倍)和ThEO(辅助性Eomesodermin CD4)(>17倍)T细胞。这些发现对于所研究疫苗的直接临床应用以及说明4-1BB抗体将已在临床试验中的治疗性E6/E7疫苗转化为治愈性疗法的潜力都具有直接的临床相关性。
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